Organization
STABLESTRIDES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHESTER DEANGELIS LCSW (CLINICAL SERVICES DIRECTOR)
(719) 495-3908
Entity
Organization
Contact information
Practice address
1045 LOWER GOLD CAMP RD, COLORADO SPRINGS, CO 80905-4801
(719) 495-3908
(719) 494-1689
Mailing address
13620 HALLELUIAH TRL, ELBERT, CO 80106-9020
(719) 495-3908
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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